Individual
MICHAEL JAMES OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
344 E 100 S STE 301300, SALT LAKE CITY, UT 84111-1700
(801) 428-3475
Mailing address
344 E 100 S STE 301300, SALT LAKE CITY, UT 84111-1700
(801) 428-3475
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/23/2019
Last updated
06/23/2019
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